TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  CORINNA BENITEZ  TESDAL 
Type  Technician 
Number 27435 
City  ENID, OK  73701 
Status CANCELED
Issue Date  05/14/2021 
Renewed Date 11/15/2021
Expire Date  10/31/2022 
End Date  11/30/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action